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COMPLIANCE INFO_2005-2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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2300 - Underground Storage Tank Program
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PR0231404
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COMPLIANCE INFO_2005-2009
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Last modified
2/10/2021 1:58:57 PM
Creation date
6/23/2020 6:47:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2009
RECORD_ID
PR0231404
PE
2361
FACILITY_ID
FA0002915
FACILITY_NAME
TRACY MARKET INC
STREET_NUMBER
15
Direction
E
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21435004
CURRENT_STATUS
01
SITE_LOCATION
15 E GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\15\PR0231404\STIPULATION FOR FINAL JUDGMENT 12-2-09.PDF
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EHD - Public
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t <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID S DATE(MM/DDIYYYY) <br /> WALTO-2 HI 03/05/09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER-OF INFORMATION <br /> ONLY AND CONFERS NORIGHTS UPON THE CERTIFICATE <br /> TLB Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 3000 Oak Rd. , Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Walnut Creek CA 94597 <br /> Phone: 925-395-2600 Fax:925-287-0710 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Cadurance American spec-ran co <br /> INSURER B: Delos Insurance Co. <br /> Walton Engineering, Inc. INSURER C: Stat. Compeasatioa Insurance <br /> P.O. Box 1025 INSURER D: Hartford Insurance Co 34690 <br /> West Sacramento CA 95691 <br /> " INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> .ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - <br /> LTLICY <br /> R NSR TYPE OF INSURANCE POLICY NUMBER GATE MM/DD/YY TIVEPDATE MM/DD/YY N LIMITS <br /> GENERAL LIABILITY - EACH OCCURRENCE I <br /> $ 1,000 x 000 <br /> A X COMMERCIAL GENERAL LIABILITY ECC101006001-00 03/06/09 03/06/10 PREMISES(Eacccurenca) S 50,000 <br /> CLAIMS MADE FX]OCCUR MED EXP(Any one person) S 5,000 <br /> PERSONAL&ADV INJURY S 1,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY X JECT LOC Emp Ben. 1,006,000 <br /> AUTOIAOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ 1,0 0 0,000 <br /> B X ANY AUTO DPA5501792@1 03/06/09 03/06/10 (Eaaccidenl) <br /> ALL OWNED AUTOS _ <br /> BODILY INJURY <br /> SCHEDULED AUTOS $ <br /> (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY :$ <br /> NON•OWNED AUTOS (Per accident) <br /> PROPERTYOAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN +ACC S <br /> AUTO ONLY: AGG $ <br /> EXCESSlUMBRELLALIABILITY EACH OCCURRENCE S 10, 000,000 <br /> A X OCCUR F]CLAIMSMADE EXS101006002-00 03/06/09 03/06/10 AGGREGATE s 10, 000,0.00 <br /> S <br /> DEDUCTIBLE <br /> I] <br /> • $ <br /> RETENTION $ - $ <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> C EMPLOYERS'LIABILITY 0007134927200B 10/01/08 <br /> ANY PROPRIETOR/PARTNER/EXECUTNE 10/01/09 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICERWEMBER EXCLUDED? <br /> If yes,describe under <br /> E.L.DISEASE-EA EMPLOYEE S 1,000,000 <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> OTHER' <br /> A Pollution/E&O ECC101006001-00 03/06/09 03/06/10 Poll/E&O 11000,000 <br /> D Installation Fltr I 57MSIZ6050 03/06/09 03/06/10 Inst Fltr 2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> To Whom It May Concern <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. 1 <br /> AUTHORIZED REPRESENTATIVE <br /> l <br /> Dennis Cote' i <br /> ACORD 25(2001108) ©ACORD CORPORATION 1988 <br />
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